Spontaneous Subdural Hematoma and Behavioral Changes Due to a Dural Arteriovenous Fistula. A Case Report and Literature Review

Overview

Journal Behav Sci (Basel)

Date 2019 Jun 19

PMID 31208005

Citations 3

Authors

Zenaida Milagros Hernandez-Diaz

Juan Carlos Llibre-Guerra

Marianela Arteche-Prior

Tania de la Paz-Bermudez

Angel Francisco Aguila-Ruiz

Luisa Maria Figueroa-Garcia

Maria de Los Angeles Robinson-Agramonte

Affiliations

Soon will be listed here.

Abstract

Dural arteriovenous fistulas (DAVFs) represent 10-15% of intracranial arteriovenous malformations. Of these, only 12-29% cause intracranial hemorrhage. The presentation of DAVF as a subdural hematoma (SDH) and intraparenchymal hemorrhage (IPH) is infrequent; additionally, behavioral changes are not common among these patients. We report, for the first time in our country, the case of a 23-year-old man with no history of head injury, in which a brain computed tomography (CT) scan revealed SDH and IPH with behavioral disturbances. The angiotomography showed ecstatic venous vessels, indicating the presence of a DAVF, which was later confirmed by cerebral angiography. Endovascular therapy, which followed the clinical diagnosis, resulted in satisfactory evolution two years after treatment. A review of the literature concerning cases with DAVF and behavioral disturbances is presented. DAVF may lead to cognitive impairment, behavioral changes, and dementia as a result of diffuse white matter and thalamus modifications related to venous ischemia, and it should be considered as a reversible cause of vascular dementia.

Citing Articles

Angiographically Silent Ruptured Dural Arteriovenous Fistula Presenting As Subdural Hematoma.

Abecassis Z, Barros G, Sekhar L, Chesnut R Cureus. 2022; 14(11):e31204.

PMID: 36505150 PMC: 9728939. DOI: 10.7759/cureus.31204.

Dural arteriovenous fistula presenting as thalamic dementia: a case description with rare imaging findings.

Liu R, Zhao Y, Yin H, Shi Z, Chen X Quant Imaging Med Surg. 2022; 12(5):3000-3006.

PMID: 35502375 PMC: 9014146. DOI: 10.21037/qims-21-1054.

Endovascular Management of Intracranial Dural AVFs: Principles.

Bhatia K, Lee H, Kortman H, Klostranec J, Guest W, Walchli T AJNR Am J Neuroradiol. 2021; 43(2):160-166.

PMID: 34674996 PMC: 8985683. DOI: 10.3174/ajnr.A7304.

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